WPC+ _{te% ;G 5 fTeKPE쏻ոN  #lI=w̡ ѣ tE/JA<%? zn\yrs[?f&2 >ŀ?yI!Rj8^FD~mqy 9Jr|]^ڥOQ,mM}#;$/e j%ekG(Ĺ?+1[) OHwD@@? ~`;q7S~:kjz7T XȰAflY`"ao\6U.\KH4I,Z1kDOU1Tg }m<L<јAU: % 0 0b 0 0q 0 0 0+ 0 0 0 0 0) 0< 0N# 0aq 0 0 0[ 0  0 0 0e 0I 0 0z 0  0= 0F& 0Pl 1 0O 1 0 0CO"E" D+"" 0C# 0J# AM$$$ 1_$%n&% B%#% 0((N(^ (w(4() m )UN )nXn)N***U@*<6X9`("Courier 12cpiV& 8Document[8]Document Style0..8` ..` ̀  ̀ Vy8Document[4]Document Style.. . ̀  ̀V 9{8Document[6]Document Style8... ̀V 9w8Document[5]Document Style0... ̀V:8Document[2]Document Style   2A.3  Ԁ   V& 8Document[7]Document Style0..0` ..` Ԁ  z` :Right Par[1]Right-Aligned Paragraph Numbers..  2I.3  Ԁ..0..zs B:Right Par[2]Right-Aligned Paragraph Numbers..` ..  2A.3  Ԁ..0` ..` VJ8Document[3]Document Style..   21.3  Ԁ   z :Right Par[3]Right-Aligned Paragraph Numbers..` ..`  ..P   21.3  Ԁ` ..` 0 .. z &:Right Par[4]Right-Aligned Paragraph Numbers..` ..`  .. ..   2a.3  Ԁ .. 0..z {j:Right Par[5]Right-Aligned Paragraph Numbers..` ..`  .. ..h..  2(1)3  Ԁ..0h..hz Ĵ:Right Par[6]Right-Aligned Paragraph Numbers..` ..`  .. ..h..h..  2(a)3  Ԁh..h0..z :Right Par[7]Right-Aligned Paragraph Numbers..` ..`  .. ..h..h....  2i)3  Ԁ..0..z :Right Par[8]Right-Aligned Paragraph Numbers..` ..`  .. ..h..h....p..  2a)3  Ԁ..0p..pVc08Document[1]Document Style  @..^    2I.3  Ԁ     Ԉ l= g:Technical[5]Technical Document Style..   2(1)3  Ԁ. l= :Technical[6]Technical Document Style..   2(a)3  Ԁ. l:%:Technical[2]Technical Document Style   2A.3  Ԁ   .. l7!:Technical[3]Technical Document Style   21.3  Ԁ   .. l6! ):Technical[4]Technical Document Style   2a.3  Ԁ   .. lE0 D:Technical[1]Technical Document Style    2I.3  Ԁ     .. l<a~:Technical[7]Technical Document Style..   2i)3  Ԁ. l<a:Technical[8]Technical Document Style..   2a)3  Ԁ. R& 8BibliogrphyBibliography0....fE2Doc InitInitialize Document Style( !   ( ($0 ($0 0 (($0 0 0   A_ekqwDocumentDocument StyleI.1.A.a.(1)(a)i)a)jD4Tech InitInitialize Technical Style( # ( CuyTechnicalTechnical Document Style11.11.1.11.1.1.11.1.1.1.11.1.1.1.1.11.1.1.1.1.1.11.1.1.1.1.1.1.1x?t2PleadingHeader for numbered pleading paper %  &s(  EXXX?2''*dE*??2''*dE*?HH 1HH 2HH 3HH 4HH 5HH 6HH 7HH 8HH 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28  .+(2s$ 4!  'dxd Level 1 Level 2 Level 3 Level 4 Level 5(2s$ 4!  ("$ Figure    )*+(A<< c  CRight ParRight-Aligned Paragraph NumbersI.A.1.a.(1)(a)i)a)#|B <6X9`("Courier 12cpid6X@8;@ d\\ipp://pc2.tceq.state.tx.us\hp8150-0427030($8Z w8wpdPtU(9 Z6Times New Roman Regular<6X9`("Courier 10cpiXx6X@8;X@* `(CG TimesScalableXXx P7XP* `(CG TimesScalable 4!  _X  X,,  ;8~  @ 9 TEXASCOMMISSIONONENVIRONMENTALQUALITY , @V V @NOTICEOFCORRECTIVEACTION     Thisformsatisfiestherequirementsof30TAC334.455whenproperlycompletedandsubmittedtothetankownerbytheCorrectiveActionSpecialistatthetimetheoffer  toperformcorrectiveactionservicesisaccepted.Pleaseprintortypetocompleteallblanks.Copiesofthisformmustbeprovidedtothe_TCEQ_Ԁattheaddressesbelowwithin d8 15daysfromthedatetheofferisaccepted. Proofofcommercialgeneralliabilityinsurancemustbeattachedtothisformwhenprovidedtoowneroroperator.Do  notattachproofofinsurancewiththecopysubmittedtothe_TCEQ_.  r  Returnonecopyofcompletedformtoeachaddress:  8   1._TCEQ_,PST/ResponsibleParty_Remediation_,MC137,POBox13087,Austin,Texas787113087  2.Appropriate_TCEQ_ԀRegionalOffice  l@   I.OWNERANDFACILITYINFORMATION:^^X%_LPST_ԀIDNO.:򀀀 @%..!(required)   Owner'sName:%%%    Representative:%%% >   Owner'sAddress:%%%        `  Street/POBox h   City   p     State x  Zip  ^  Telephone:()󀀀0 h 0h%h%0%%0p%%0p%p%FaxNo.:() %% FacilityName:%%% L  FacilityAddress:%%%       `  Street   h   City   p   County   x   (# Zip l  IamawareoftheregistrationrequirementsforCorrectiveActionSpecialistsandCorrectiveActionProjectManagerssetforthin30TAC334_Subchapter_ԀJand  thatreimbursementwillbeinaccordancewiththeprovisionsof30TAC334_Subchapter_ԀH(relatingtotheInterimReimbursementProgram)andinaccordance l@ with30TACChapter334,_Subchapter_ԀMaspublishedinthe_TCEQ_ԀReimbursableCostSpecifications.Ihavealsobeenprovidedwithacopyofavalidcertificate  ofcommercialgeneralliabilityinsuranceinthenameofthebelowdesignatedcorrectiveactionspecialistdesignatingthe_TCEQ_Ԁascertificateholderintheamount t ofnotlessthanonemilliondollars. :      `     h   򀀀 j        `     h      p SignatureofOwnerorRepresentative X,!  II.CORRECTIVEACTIONSPECIALIST/PROJECTMANAGERINFORMATION:  f# RCAS.:88%%󀀀@`%Reg.No.򀀀Expirationdate:򀀀 % Representative:%%% t' Telephone:()󀀀0 h 0h%h%0%%0p%%0p%p%FaxNo.:()()%%  Address:%%% +      `  Street   h   City   p   County   x   (# Zip t H,  IamawareoftheregistrationrequirementsforCorrectiveActionSpecialistsandCorrectiveActionProjectManagerssetforthin30TAC334_Subchapter_ԀJand !X . thatreimbursementwillbeinaccordancewiththeprovisionsof30TAC334_Subchapter_ԀH(relatingtotheInterimReimbursementProgram)andinaccordance " / with30TAC,Chapter334,_Subchapter_ԀMaspublishedinthe_TCEQ_ԀReimbursableCostSpecifications. "!0      `     h   򀀀 $Z#3       `     h     SignatureofCorrectiveActionSpecialist(orRepresentative) H%$4  C.A.ProjectManager: 88%%󀀀@`%Reg.No.򀀀Expirationdate:򀀀 &V%6 CompanyName:%%%  (&8 Telephone:()󀀀0 h 0h%h%0%%0p%%0p%p%FaxNo.:())h(:%% Address:%%% +)<      `  Street   h   City   p   County   x   (# Zip +*= @F _TCEQ_ԀDISCLAIMER  V,*+>  'X,,XX'1.0  TheRegistrationofaCorrectiveActionSpecialistbythe_TCEQ_Ԁdoesnotconstituteendorsement,licensingorpromotionofanyCorrectiveActionSpecialist. -+? Registrationdoesnotimplythatthe_TCEQ_Ԁguaranteesthequalityoftheworkperformedorthatthecostoftheworkmaybereimbursed.-,@%% 2.0  Reimbursementforapprovedworkissubjecttotheeligibilityrequirementssetforthin30TAC334_Subchapter_ԀHandthe_TCEQ_'sReimbursableCost .-B Specifications.Chargesexceedingtheamountdeterminedasreimbursableforthatparticularworkitemshallnotbereimbursedbythe_TCEQ_. /T.C%% _TCEQ_Ԅ0507(052708)  0.D X, ;XҕU;8~@ 9@XҕUU;XҕTEXASCOMMISSIONONENVIRONMENTALQUALITY X @ ?CORRECTIVEACTIONSPECIALIST  @n n <NOTICETOTANKOWNERSANDOPERATORS   WhenaCorrectiveActionSpecialist(_CAS_)conductsworkforatankowneroroperatoronaleakingproductstorage X  tank(_LPST_)site,the_CAS_ԀmustprovideaNoticeofCorrectiveActionthatincludesthe_CAS_'sregistrationnumber, .   proofofcommercialliabilityinsurance,anddisclaimerstatementstotheowneroroperator.Therequirementfor    thisnotice(Title30TexasAdministrativeCode,334.455)statesthatthenoticemustbefiledpriortothetimean   offertoperformcorrectiveactionservicesisaccepted.Inordertoalleviatetheburdenofprovidingthisnoticeevery  X  timeanewactivityisperformedonan_LPST_Ԁsite,thefollowingproceduresmaybefollowedbytheCorrective  .  ActionSpecialist. \  0  Thenoticetotheowneroroperatormustbesubmittedontheattachedformprovidedbythe_TCEQ_.The_CAS_   shouldcompletetheinformationandsigntheform,attachproofofinsurance,andobtainthesignatureofthe  owneroroperator.Copiesoftheform(withoutproofofinsuranceattached)mustbesubmittedtotheCentral \ OfficeandtotheappropriateRegionalOfficewithin15daysfromthedateonwhichtheoffertoperform 2 correctiveactionservicesisaccepted.`%% 0  Onenoticeper_LPST_Ԁsitemaybeprovidedunderthefollowingscenarios: %% 0  1.0%%The_CAS_Ԁperformingthecorrectiveactionservicesforaparticular_LPST_Ԁsiteremainsthesame.Ifthe_CAS_ ` shouldchange,arevisednoticemustbefiledatthetimethenew_CAS_Ԁacceptsthework.Ifanyofthe_CAS_ 6 addressorphoneinformationshouldchange,arevisednoticeformshouldbesubmitted.d %% 0  2.0%%Theowneroroperator'scontactpersondoesnotchange.Shouldachangeoccurintheowneroroperator's  contactperson,anewnoticefromthe_CAS_Ԁmustbefiledatthetimethenextcontractisobtained.%% 0  _CASs_Ԁcontractingwithoneowneroroperatorformanyseparate_LPST_Ԁsitesmaysubmitoneformlistingeach : ofthe_LPST_ԀIDnumbers.The_CAS_Ԁmustsubmitthecorrespondingnumberofcopiesoftheformtoboththe h  CentralOfficeandtotheappropriateRegionalOffice.>!%% 0  PleasekeepinmindthattherequirementsapplicabletoCorrectiveActionSpecialistsandProjectManagers # applytoall_LPST_Ԁsitesatwhichcorrectiveactionservicesareconductedandareindependentofwhetherornot  h$ thesiteortheactivitiesareeligibleforreimbursement.The_CAS_ԀandPMrequirementsapplyonlytocorrective !>% actiondirectedbythe_TCEQ_Ԁanddonotapply,forexample,toinvestigationsconductedpriortotheconfirmation l" & ofareleaseincident.B# '%% Pleaseremembertoincludeyour_CAS_Ԁregistrationnumberonallcorrespondencewiththe_TCEQ_Ԁ(pursuantto $") 334.453(a)(4)).ThisrequirementalsoappliestoregisteredCorrectiveActionProjectManagers.Theregistration %l#* expirationdateshouldalsobeincludedtoensurethattheregistrationisineffectatthetimethecorrectiveaction &B$+ servicesareconducted. p'%, TheNoticeofCorrectiveActionisoneofseveralrequirementsofwhichyoushouldbefamiliar.PleaserefertoTitle )&. 30,TexasAdministrativeCode,Chapter334,_Subchapter_ԀJforadditionalrequirementsforCorrectiveAction )'/ SpecialistsandProjectManagers.Youareresponsibleforcompliancewiththisandtheotherrulesandlaws *p(0 governingcorrectiveactionactivitiesinthestoragetankprogram. +F)1 Shouldyouhaveanyquestionsonregistrationprocedures,pleasecontacttheOccupationalLicensingSectionat J-*3 512/2392192.Forquestionsoncorrectiveactionatleakingstoragetanksites,pleasecontactthe_Remediation_  .+4 Division'sResponsibleParty_Remediation_ԀProgramat512/2392200.%%%#;XҕUU@Xҕ#